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PERMIT <br /> CI i Y Oi ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway - P.O. Box 66 �` �� _�`�f� <br /> Permit Number: '';`:;��;;=, <br /> Crystal Bay, Minnesota 55323 � - ���_ - <br /> (612) 249-4600 Date Issued: <br /> SITE ADDRESS: <br /> . . _.._ �.���k��:s ..s: 7 ! `it! i"��r.'.�. <br /> _'t <br /> . _ _ ;_.� '_' ' <br /> DESCRIPTION: <br /> �.;� —��: .;r <br /> -��Wi11�.:�1i�:� ='H�,rS;:3:'�.-. . ._=- __:__. .__.. Y;:�i._ =;�i�"�3i . --?°.I:�:;,� <br /> f��{1y %3�3�,i1�.�{ �i_ii'::. . , - __ �.'e'.•_' i.�.�>"_�'l!'_•�_ �. <br /> ��_��� <br /> �.St.u��_� _'_�_�-'�}:_:��� E t ... <br /> i�fi�^•1.I'S'{3_ � _i�Fl i `r L.':-..: 4!�`�{ .. <br /> �{�i f' i�'-'�'` _._. . i f_ <br /> _,�"�'}_I`L.,"• 1_,i�ii_,fF�- t,i_ y, � _ _'fiE�` , �-i i �t-i'.,,��! <br /> REMARKS: I� <br /> .. _ _ _ __w. _, ,_._ ... _ — <br /> ,_._ :; �: ; , ._ �:�.. s , — — <br /> . . :;�_�:_:.i�— — ... :. ;� <br /> �=; �- ; � , ,: � �;r r _ _ _ _ . _ . . . . . .. .., .._ _. . . . _. . <br /> FEE SUMMARY: I <br /> . t_ . . _ _ . .. ._ . _ v .. <br /> �__ __ �. — — — <br /> ,�.-.:.-.- ;_..-.� ,-�:,:.� �;;� sti� , �;�` :_:{_,fia;,�- � = i { ft�V - ,;; iY;:: <br /> s.�:::;:� _ �--,.. � . ...�_ : . �—i3, t?__�_ . <br /> '". _ ^"", ��i:�a a e .-.;'! 4•i-i "r.f.�. f 3�1 1.:=1 _ ' ___�.._ _--��'- �;•fC.� <br /> f i':.i.!3 i'.�'' ' _-_"i _ __... . _. ... _. .�. . .._.... . _ , ! _ • . _ _ <br /> �i}1'i�i��ir�i 1'�_>}:: ,�:j+3 <br /> ��'?�.: � �'L : .. .� _ . L�i t.! <br /> '=:r;;: „ 1 t:i::3 <br /> `=�;at:: _ .�i '._ <br /> _ 3(�_ _ _ :..-�i.i'� _ __ . . _ �'.f�s..4'�%` t. <br /> CONTRACTOR: — . :�:`�.:'�. �=='.t—'}� — - - ..`�: OWNER: <br /> __ _ . _._.. , . _ _ _. <br /> �'.� .t_.t._.. . , ... _. . :_�; , I �v �M,__ � _•'_`, �..... .' .i;; .. ., , 6 . � . . _. .___. . f+�_�, , . . . ':�:����f <br /> r��- :_:; .p t,-,�._;:-, - <br /> . f sf.� <br /> ,-. •..�_ , �. - _ .,. ` " _ <br /> ;—'S ";•;'•_s:f,;-1 _ ;: <br /> ._ . _ . „ _. . __. ;F .. _'i� . �'!�`. .. _ . ! <br /> :f +� ! L i_ ..':t_." ' _ � <br /> 3�} t- _ ,_.,;, .�,. <br /> Stw i���Ef:}G�1 w.{. �#��'�.e° i�i._`' v .,._ }3 '..__ W� ._ . _. _ ,., .�;� . .. . .. .�., � .`...,» r`.?:_. .1._ 3.;?, . .._ . .._. ._.'�- a�_. <br /> ti''S�"�GS�•2�"��l,l� M€�!�! ..��}"._..{�.`�_ . i.,,� �f'_� .. ...._�..... ?x: » . . . . .+� k ...., _. . _. _ . ! !._�. .. .f__.. .. . _ . .��.t__�.... _. .... . . t'",t� <br /> 1 t`1#�l��.� �.,f�''�`.�.i�EMi'YS��.x�.=e ;3i�s.� «���!`t��tr. k«'a �°': . .� . ,_.� .,. x F'I�,_..�.'.0:.!�..(*��'r t I tIa'v E �''' .�.. ..__ ... . _ . <br /> � <br /> / y,. � <br /> �..�� � <br /> APPLICANT/ ISSUED BY:SIGNATURE <br /> --..... <br />